CN212015657U - Minimally invasive operating system for transcendental tube scope approach - Google Patents
Minimally invasive operating system for transcendental tube scope approach Download PDFInfo
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- CN212015657U CN212015657U CN201920905127.6U CN201920905127U CN212015657U CN 212015657 U CN212015657 U CN 212015657U CN 201920905127 U CN201920905127 U CN 201920905127U CN 212015657 U CN212015657 U CN 212015657U
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Abstract
A minimally invasive operating system for a transcendental scope approach comprises a spinal scope, a bending adjusting component and a supporting component, wherein the bending adjusting component is hinged on the spinal scope, and the supporting component is arranged between a working scope tube of the spinal scope and the bending adjusting component; the spinal canal mirror comprises a main body structure and a flexible mirror tube, wherein one end of the flexible mirror tube is fixedly connected with the main body structure, and the other end of the flexible mirror tube is a free end; the bending adjusting assembly comprises a hinge part, a base pipe section and a bending adjusting pipe section, the hinge part is fixedly connected with the base pipe section, and the base pipe section and the bending adjusting pipe section are hinged and fixed through a fastening knob; the supporting component comprises a telescopic sleeve, and the telescopic sleeve is fixed on the bending adjusting pipe section through a nut cap. The system can reach the part of the spinal column with intervertebral disc protrusion and spinal canal stenosis along the natural channel-spinal canal in the spinal column for operation, and does not need surgical operations such as vertebral plate excision, vertebral plate opening or intervertebral foramen reaming and the like, and the surgical injury to patients with intervertebral disc protrusion and spinal canal stenosis is smaller.
Description
Technical Field
The utility model relates to the field of medical equipment, concretely relates to minimally invasive operating system of getting into the way through the canaloscope.
Background
At present, percutaneous spinal endoscopy is usually adopted for treating lumbar disc herniation and spinal canal stenosis, namely, intervertebral foramen endoscope is used for minimally invasive surgery treatment, and the surgical access ways of the intervertebral foramen endoscope for the surgery treatment are as follows: 1. distal lateral or horizontal approach; 2. posterior or interlaminar approach; 3. transforaminal approach; 4. an anterior approach; of these, the second and third surgical approaches are most commonly used. The posterior or intervertebral approach needs to cut and open the vertebral plate to affect the stability of the spine, the intervertebral foramen needs to be reamed, nerve roots are easily lost in the reaming process, and the two approaches can only be used for treating single-segment intervertebral disc protrusion and partial spinal stenosis
The operation treatment can not be performed on the protrusion of the intervertebral disc of the multi-section spine and the stenosis of the multi-section vertebral canal, the single access is adopted for performing the operation treatments such as multi-section decompression, nerve release, vertebral canal expansion and forming, and the traditional minimally invasive access has the problems of limited operation visual field, low operation efficiency and high risk.
SUMMERY OF THE UTILITY MODEL
The invention aims to solve the problems, and designs a transcendental endoscopic approach and a minimally invasive operation system thereof, wherein the system utilizes a spinal endoscope improved by a vertebroscope technology to reach the part of the spine with intervertebral disc protrusion and spinal stenosis along a natural channel-spinal canal in the spine for operation, does not need to cut off vertebral plates, vertebral plate openings or perform operation operations such as reaming of intervertebral foramen and the like, only needs to cut off partial yellow ligaments of a specific anatomical part to establish a channel entering the spinal canal, has no damage to a post-vertebral column bone structure, and can perform multi-section spinal disc protrusion and multi-section spinal canal stenosis by adopting a single approach to perform multi-section decompression, neurolysis and spinal canal expansion and forming so as to improve the operation efficiency and reduce the operation risk; the system has less surgical injury to patients with the prolapse of intervertebral disc and spinal canal stenosis, and is more suitable for patients with the multiple-segment prolapse of intervertebral disc and spinal canal stenosis.
In order to solve the above technical problem and achieve the above technical effect, the utility model discloses a following technical content realizes:
a minimally invasive operating system for a transcendental scope approach is characterized by comprising a spinal scope, a bending adjusting component and a supporting component, wherein the bending adjusting component is hinged on the spinal scope, and the supporting component is arranged between a working scope tube of the spinal scope and the bending adjusting component and can slide along the inner wall of the bending adjusting component;
the said canalis spinalis lens includes the body construction and soft lens tube, one end of the soft lens tube is fixedly connected with body construction and another end is the free end, the left end of the body construction is fixed with the apparatus channel socket, both sides of the body construction are fixedly connected with water inlet connector and water outlet connector, the bottom of the body construction is fixed with eyepiece connecting part and light source light connecting part, the eyepiece connecting part is connected with the eyepiece, the soft lens tube includes the outer cladding and metal skeleton layer, the outer cladding wraps the outside of the metal skeleton layer, the metal skeleton layer wraps up the apparatus channel tube, water inlet pipe, water outlet pipe and light source imaging tube, the light source imaging tube is fixed with light guide bundle and image guide bundle, the end face of the free end of the soft lens tube is fixed with objective lens, cold light lamp, apparatus channel outlet, water inlet and water outlet, both ends of the light guide bundle are connected with light source light connecting part and cold light lamp respectively, both ends of the image, the instrument channel tube is communicated with the instrument channel socket;
the bending adjusting assembly comprises a hinge part, a base pipe section and a bending adjusting pipe section, the hinge part is fixedly connected with the base pipe section, the base pipe section and the bending adjusting pipe section are hinged and fixed through a fastening knob, one side of the bending adjusting pipe section is provided with a limiting slide hole, the hinge part is sleeved at the right end of the main body structure, the base pipe section and the bending adjusting pipe section are sleeved on the soft mirror pipe, the right end of the main body structure is provided with a limiting fixing column, the limiting fixing column extends out of the rotating slide hole of the hinge part, the hinge part is fixed on the main body structure through a fastening nut, the right end of the base pipe section is provided with a connecting sheet, the connecting sheet is provided with a hinge hole, the left end of the bending adjusting pipe section is provided with the connecting sheet, the connecting;
the supporting component comprises a telescopic sleeve, a sliding column is arranged at the left end of the telescopic sleeve, the telescopic sleeve is arranged inside the bending adjusting pipe section and is sleeved on the flexible mirror tube, the sliding column extends out of a limiting sliding hole of the bending adjusting pipe section, a nut cap is connected to the sliding column in a threaded mode, and the telescopic sleeve is fixed to the bending adjusting pipe section through the nut cap.
Preferably, the outer cladding layer is made of resin materials to form a hose structure, and the metal framework layer is made of a metal spiral pipe and a metal mesh pipe coated on the outer layer of the metal spiral pipe.
The utility model has the advantages that: the invention aims to solve the problems, and designs a transcendental endoscopic approach and a minimally invasive operation system thereof, wherein the system utilizes a spinal endoscope improved by a vertebroscope technology to reach the part of the spine with intervertebral disc protrusion and spinal stenosis along a natural channel-spinal canal in the spine for operation, does not need to cut off vertebral plates, vertebral plate openings or perform operation operations such as reaming of intervertebral foramen and the like, only needs to cut off partial yellow ligaments of a specific anatomical part to establish a channel entering the spinal canal, has no damage to a post-vertebral column bone structure, and can perform multi-section spinal disc protrusion and multi-section spinal canal stenosis by adopting a single approach to perform multi-section decompression, neurolysis and spinal canal expansion and forming so as to improve the operation efficiency and reduce the operation risk; the system has less surgical injury to patients with the prolapse of intervertebral disc and spinal canal stenosis, and is more suitable for patients with the multiple-segment prolapse of intervertebral disc and spinal canal stenosis.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings used in the description of the embodiments will be briefly introduced below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art that other drawings can be obtained according to these drawings without creative efforts.
FIG. 1 is a schematic overall structure diagram of a percutaneous transluminal minimally invasive operating system;
FIG. 2 is a schematic structural view of the spinal scope;
FIG. 3 is a sectional structural view taken along the A-A section of the flexible endoscope tube;
FIG. 4 is a schematic structural diagram of the free end face of the soft lens tube;
FIG. 5 is a schematic top view of the spinal scope;
FIG. 6 is a schematic view of the bend adjustment assembly;
FIG. 7 is a schematic view of the construction of the components of the bend adjustment assembly;
FIG. 8 is a schematic structural view of the fastening knob;
fig. 9 is a schematic structural view of the support assembly.
In the drawings, the components represented by the respective reference numerals are listed below:
1-a spinal endoscope, 2-a bending adjusting component, 3-a supporting component, 4-a main body structure, 5-an instrument channel socket, 6-a water inlet joint, 7-a light source light connecting part, 8-an ocular connecting part, 9-a soft lens tube, 10-a bending part, 11-a limiting fixing column, 12-an outer wrapping layer, 13-a metal framework layer, 14-an instrument channel tube, 15-a water inlet tube, 16-a light source imaging tube, 17-an image guide beam, 18-a light guide beam, 19-a base tube section, 20-a hinging part, 21-a bending adjusting tube section, 22-a limiting sliding hole, 23-a fastening knob, 24-a connecting sheet, 25-a hinging hole, 26-a threaded column, 27-an anti-sliding cap, 28-a threaded sleeve and 29-a sliding column, 30-water outlet pipe, 31-instrument channel outlet, 32-water outlet, 33-cold light lamp, 34-objective lens and 35-water inlet.
Detailed Description
The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only some embodiments of the present invention, not all embodiments. Based on the embodiments of the present invention, all other embodiments obtained by a person of ordinary skill in the art without creative efforts belong to the protection scope of the present invention.
Referring to fig. 1-9, a minimally invasive operating system for percutaneous transluminal approach comprises a canaloscope 1, a bending adjusting component 2 and a supporting component 3, wherein the bending adjusting component 2 is hinged on the canaloscope 1, and the supporting component 3 is arranged between a working lens tube of the canaloscope 1 and the bending adjusting component 2 and can slide along the inner wall of the bending adjusting component 2;
the spinal canal mirror 1 comprises a main body structure 4 and a soft mirror tube 9, one end of the soft mirror tube 9 is fixedly connected with the main body structure 4, the other end of the soft mirror tube 9 is a free end, an instrument channel socket 5 is fixed at the left end of the main body structure 4, a water inlet connector 6 and a water outlet connector are fixedly connected with two sides of the main body structure 4, an eyepiece connecting part 8 and a light source light connecting part 7 are fixed at the bottom of the main body structure 4, an eyepiece is connected with the eyepiece connecting part 8, the soft mirror tube 9 comprises an outer cladding 12 and a metal framework layer 13, the outer cladding is coated outside the metal framework layer 13, an instrument channel tube 14, a water inlet tube 15, a water outlet tube 30 and a light source imaging tube 16 are coated in the metal framework layer, a light guide bundle 18 and an image guide bundle 17 are fixed in the light source imaging tube 16, an objective 34, a cold light lamp 33, an instrument channel outlet 31, a water inlet 35 and a water outlet 32 are fixed on the end, the two ends of the image guide bundle 17 are respectively connected with the objective lens 34 and the ocular lens, and the instrument channel tube 14 is communicated with the instrument channel socket 5; the outer cladding 12 is made of resin materials into a hose structure, and the metal framework layer 13 is made of a metal spiral pipe and a metal mesh pipe coated on the outer layer of the metal spiral pipe;
the bending adjustment assembly 2 comprises a hinge portion 20, the flexible endoscope comprises a base pipe section 19 and a bending adjusting pipe section 21, a hinge portion 20 is fixedly connected with the base pipe section 19, the base pipe section 19 and the bending adjusting pipe section 21 are hinged and fixed through a fastening knob 23, one side of the bending adjusting pipe section 21 is provided with a limiting slide hole 22, the hinge portion 20 is sleeved at the right end of a main structure 4, the base pipe section 19 and the bending adjusting pipe section 21 are sleeved on a flexible mirror tube 9, the right end of the main structure 4 is provided with a limiting fixing column 11, the limiting fixing column 11 extends out of the rotating slide hole of the hinge portion 20, the hinge portion 20 is fixed on the main structure 4 through a fastening nut, the right end of the base pipe section 19 is provided with a connecting sheet 24, the connecting sheet 24 is provided with a hinge hole 25, the left end of the bending adjusting pipe section 21 is provided with a connecting sheet 24, a threaded column 26 is arranged on the;
the supporting component 3 comprises a telescopic sleeve, a sliding column 29 is arranged at the left end of the telescopic sleeve, the telescopic sleeve is arranged inside the bending adjusting pipe section 21 and is sleeved on the flexible mirror tube 9, the sliding column 29 extends out of a limiting sliding hole 22 of the bending adjusting pipe section 21, a nut cap is connected to the sliding column 29 in a threaded mode, and the telescopic sleeve is fixed to the bending adjusting pipe section 21 through the nut cap.
One specific application of the device is as follows: the patient adopts a prone position and is juxtaposed with the soft pad on the chest,
Hip and knee protection, with the abdomen suspended; the specific approach is taken in the posterior middle of the lumbosacral part, the highest point of the iliac spine is taken as a common mark point, and the posterior superior iliac spine is taken as an auxiliary mark point. The puncture needle is tightly attached to the spinous process vertebral lamina for puncture, the positioning puncture needle is positioned in the vertebral lamina gap under the positioning of the C-arm machine, the sleeve is gradually opened during replacement, the working channel is replaced (the working channel can be used for adjusting the inclination angle, the head inclination angle and the tail inclination angle) under the positioning of the C-arm machine, and the spinal canal endoscope 1 is connected to the light source and the camera. The spinal scope 1 is connected to the light source and the camera, the light source is turned on, and the white balance is adjusted to achieve the best color effect. The spinal canal mirror 1 is put into a working sleeve, the bending adjusting component 2 is adjusted to lead the soft mirror tube 2 to break through the ligamentum flavum into the spinal canal of the spine through the vertebral plate gap under the support of the bending adjusting tube section 21, under the positioning of the C-arm machine, the bending angle of the bending adjusting pipe section 21 is continuously adjusted and pushed to enable the free end of the flexible lens tube 2 to reach the narrow part of the vertebral canal, the end surface of the free end of the flexible lens tube 2 is provided with a cold light lamp and an objective lens 34, the image guide bundle 17 transmits the image shot by the objective lens 34 to the eyepiece lens, converts the image into an electronic image and transmits the electronic image to a camera for display, at the moment, the angularly adjustable grasper is inserted through the instrument channel socket 5 at the rear end of the body structure 4 and through the instrument channel tube 14 to the instrument channel outlet 31, with the assistance of a camera, using a nipper to remove intervertebral disc tissues at the spinal canal stenosis part to eliminate the influence of the spinal canal stenosis; when the spinal canal stenosis occupies place for the osseous or congenital osseous spinal canal stenosis, the removable high-speed miniature bistrique that is from taking driving system of nipper, under the assistance of camera, the sclerotic bone that grinds off of high-speed miniature bistrique accuracy, the dystopy becomes the osseous structure of bone, the osseous spinal canal enlarges and takes shape, to the narrow condition of spinal canal that takes place in many places in the backbone, accomplish the excision of last section intervertebral disc tissue, the spinal canal enlarges behind the shaping step, continue to adjust the bending angle of crooked regulation pipeline section 21 and impel and make the free end of soft mirror tube 2 reach next section spinal canal stenosis position, carry out the excision of next section spinal canal intervertebral disc tissue, the spinal canal enlarges and takes shape, whole process need not to carry out operations such as yellow ligament incision and vertebral plate incision to a plurality of spinal canal stenosis sections, operation efficiency obtains improving and the risk littleer.
The bending angle adjustment process of the bending adjustment assembly 2 is as follows: loosening the fastening knob 23, holding the bending adjusting pipe section 21 by hand to bend upwards or downwards to reach a certain bending angle so that the bending adjusting pipe section 21 is attached to the vertebral canal at the angle, bending the soft lens tube 9 in the bending adjusting pipe section 21 to the angle, and after the adjustment is finished, tightening the fastening knob 23, pushing the bending adjusting pipe section 21 along the vertebral canal and enabling the soft lens tube 9 to reach a lesion area; at the moment, the fastening nut is unscrewed, and the hinge part 20 is rotated to adjust the position of the free end of the soft lens tube 9, so that the operation is convenient; a telescopic sleeve is arranged between the bending adjusting pipe section 21 and the soft endoscope pipe 9 and can slide along the bending adjusting pipe section 21 to form a rigid support for the whole section of the soft endoscope pipe 9, so that the soft endoscope pipe 9 can be pushed forwards in the vertebral canal conveniently.
In the description herein, references to the description of "one embodiment," "an example," "a specific example," etc., mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the invention. In this specification, the schematic representations of the terms used above do not necessarily refer to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.
The preferred embodiments of the present invention disclosed above are intended only to help illustrate the present invention. The preferred embodiments are not intended to be exhaustive or to limit the invention to the precise embodiments disclosed. Obviously, many modifications and variations are possible in light of the above teaching. The embodiments were chosen and described in order to best explain the principles of the invention and its practical applications, to thereby enable others skilled in the art to best understand the invention for and utilize the invention. The present invention is limited only by the claims and their full scope and equivalents.
Claims (2)
1. A minimally invasive operating system for transcendental esoscope approach is characterized by comprising a choledochoscope (1), a bending adjusting component (2) and a supporting component (3), wherein the bending adjusting component (2) is hinged on the choledochoscope (1), and the supporting component (3) is arranged between a working choledochoscope of the choledochoscope (1) and the bending adjusting component (2) and can slide along the inner wall of the bending adjusting component (2);
the spinal endoscope (1) comprises a main body structure (4) and a soft lens tube (9), one end of the soft lens tube (9) is fixedly connected with the main body structure (4), the other end of the soft lens tube is a free end, an instrument channel socket (5) is fixed at the left end of the main body structure (4), a water inlet joint (6) and a water outlet joint are fixedly connected to two sides of the main body structure (4), an eyepiece connecting part (8) and a light source light connecting part (7) are fixed at the bottom of the main body structure (4), an eyepiece is connected to the eyepiece connecting part (8), the soft lens tube (9) comprises an outer cladding layer (12) and a metal framework layer (13), the outer cladding layer is wrapped outside the metal framework layer (13), an instrument channel tube (14), a water inlet tube (15), a water outlet tube (30) and a light source imaging tube (16) are wrapped in the metal framework layer, a light guide beam (18) and an image guide beam (17), an objective lens (34), a cold light lamp (33), an instrument channel outlet (31), a water inlet (35) and a water outlet (32) are fixed on the end face of the free end of the soft mirror tube (9), two ends of the light guide bundle (18) are respectively connected with the light source light connecting part (7) and the cold light lamp (33), two ends of the image guide bundle (17) are respectively connected with the objective lens (34) and the eyepiece lens, and the instrument channel tube (14) is in through connection with the instrument channel socket (5);
the bending adjusting assembly (2) comprises a hinge part (20), a base pipe section (19) and a bending adjusting pipe section (21), the hinge part (20) is fixedly connected with the base pipe section (19), the base pipe section (19) and the bending adjusting pipe section (21) are hinged and fixed through a fastening knob (23), one side of the bending adjusting pipe section (21) is provided with a limiting slide hole (22), the hinge part (20) is sleeved at the right end of the main body structure (4), the base pipe section (19) and the bending adjusting pipe section (21) are sleeved on the soft mirror pipe (9), the right end of the main body structure (4) is provided with a limiting fixing column (11), the limiting fixing column (11) extends out of the rotating slide hole of the hinge part (20), the hinge part (20) is fixed on the main body structure (4) through a fastening nut, the right end part of the base pipe section (19) is provided with a connecting sheet (24), and the connecting sheet (24) is provided, a connecting piece (24) is arranged at the left end part of the bending adjusting pipe section (21), a threaded column (26) is arranged on the connecting piece, the threaded column (26) extends out of the hinge hole (25), and a fastening knob (23) is connected to the threaded column (26) in a threaded manner; support assembly (3) including the telescope tube, the left end of telescope tube is equipped with traveller (29), the telescope tube sets up in crooked regulation pipeline section (21) inside and cup joints on soft mirror tube (9), traveller (29) stretch out from spacing slide opening (22) of crooked regulation pipeline section (21), threaded connection has the nut cap on traveller (29), the telescope tube is fixed in on crooked regulation pipeline section (21) through the nut cap.
2. The minimally invasive operating system for the percutaneous transluminal approach according to claim 1, wherein the outer covering layer (12) is made of resin material and is made of a hose structure, and the metal framework layer (13) is made of a metal spiral tube and a metal mesh tube coated on the outer layer of the metal spiral tube.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201920905127.6U CN212015657U (en) | 2019-06-17 | 2019-06-17 | Minimally invasive operating system for transcendental tube scope approach |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201920905127.6U CN212015657U (en) | 2019-06-17 | 2019-06-17 | Minimally invasive operating system for transcendental tube scope approach |
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| CN212015657U true CN212015657U (en) | 2020-11-27 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201920905127.6U Expired - Fee Related CN212015657U (en) | 2019-06-17 | 2019-06-17 | Minimally invasive operating system for transcendental tube scope approach |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110384525A (en) * | 2019-06-17 | 2019-10-29 | 中国人民解放军联勤保障部队第九二〇医院 | It is a kind of through canalis spinalis mirror approach Micro-operation system |
-
2019
- 2019-06-17 CN CN201920905127.6U patent/CN212015657U/en not_active Expired - Fee Related
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110384525A (en) * | 2019-06-17 | 2019-10-29 | 中国人民解放军联勤保障部队第九二〇医院 | It is a kind of through canalis spinalis mirror approach Micro-operation system |
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